Provider Demographics
NPI:1679141519
Name:SENSATIONAL HEARTS HOME CARE AGENCY LLC
Entity type:Organization
Organization Name:SENSATIONAL HEARTS HOME CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NATASJA
Authorized Official - Middle Name:Q
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:910-415-4002
Mailing Address - Street 1:34 W MAIN ST STE E
Mailing Address - Street 2:
Mailing Address - City:HAMLET
Mailing Address - State:NC
Mailing Address - Zip Code:28345-3636
Mailing Address - Country:US
Mailing Address - Phone:910-415-4002
Mailing Address - Fax:910-557-1352
Practice Address - Street 1:2711 BREEZEWOOD AVE STE A1
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-5504
Practice Address - Country:US
Practice Address - Phone:910-415-4002
Practice Address - Fax:910-557-1352
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SENSATIONAL HEARTS HOME CARE AGENCY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-06-16
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care